Ine R. Santoso in Northborough - Dentist

Ine R. Santoso - NPI 1396956272

Ine R. Santoso is a Dentist in Northborough, Massachusetts. Ine R. Santoso practices all healthcare services and medical treatments related to Dentist. The NPI Number for Ine R. Santoso is 1396956272. The last update date is 2007-07-08.

Ine R. Santoso's current location address is Po Box 507, Northborough, Massachusetts. You can contact this provider via phone number 5083932318. The mailing address for Ine R. Santoso is Po Box 507, Northborough, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Ine R. Santoso
Address Po Box 507, Northborough, Massachusetts
Phone Number 5083932318
Fax Number
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1396956272
Provider Enumeration Date 2007-05-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 507
City Northborough
State Massachusetts (MA)
Post Code 15320507
Phone Number 5083932318
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No MA 17205
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Ine R. Santoso

What is the Ine R. Santoso's 1396956272?

The Ine R. Santoso's NPI (National Provider Identifier) Number is 1396956272. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Ine R. Santoso?

The Ine R. Santoso is physically situated at Po Box 507, in the city of Northborough, state of MA, with the postal code 15320507.

What is the Ine R. Santoso's specialty and taxonomy code?

The Ine R. Santoso's specialty is Dentist, and the corresponding taxonomy code is 122300000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1396956272 to Ine R. Santoso?

The Centers for Medicare & Medicaid Services assigned the 1396956272 to Ine R. Santoso on 2007-05-24.

As of what date was the information pertaining to Ine R. Santoso, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Ine R. Santoso, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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